Transactions . a macular artery,a condition which has been confirmed by the pathological exami-nation. It may be questioned whether or not the obstructionfound is an embolus or a thrombus, but the weight of evidencefavors the former. The case is of interest in that the eyeball, which was removeda few minutes after death, contained a condition difficult to se-cure for examination in the acute stage, and while the exact ageof the obstruction is not known, the complete cycle of events per-taining thereto, was but eighteen days. It is probable moreover,that the eye condition was subsequent to the
Transactions . a macular artery,a condition which has been confirmed by the pathological exami-nation. It may be questioned whether or not the obstructionfound is an embolus or a thrombus, but the weight of evidencefavors the former. The case is of interest in that the eyeball, which was removeda few minutes after death, contained a condition difficult to se-cure for examination in the acute stage, and while the exact ageof the obstruction is not known, the complete cycle of events per-taining thereto, was but eighteen days. It is probable moreover,that the eye condition was subsequent to the brain conditionwhich marked the fatal onset. Six days before admission to the hospital, the patient whilesitting on a chair, suddenly became faint and fell to the had convulsive movements of the arms and legs lasting aboutten minutes. She then passed into a semi-comatose state, inwhich condition she remained until death. From her husband itwas learned that she had had kidney trouble for the past five. Kmbolism of a Kacular Artery. Sketch riade two days before death of patient. Shoemaker : Embolism of a Macular Artery 503 years, and frequently had fainting spells similar to the presentattack, but from which she had always recovered within a fewhours. Examination of the patient showed much emaciation. Eye-lids held in half closed position. Right labio-nasal fold ob-literated ; right side of upper lid drooped over mouth dropped, and breathing through mouth. The limbs weremoved in response to irritation. The heart sounds were dis-ordered, there being slight presystolic and systolic murmurs heardat the apex. The second aortic sounds were valvular and rela-tively accentuated; there was no thrill. The left arm and leg were frequently moved, there was nospasticity; the reflexes on that side were normal. The right armand leg were not voluntarily moved. Both were spastic; theknee-jerk was exaggerated; the Babinski and Gordon reflexeswere both present. The broncho-pne
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectophthalmology, bookye
